Hydrocephalus in Infants Less than Six Months of Age: Effectiveness of Endoscopic Third Ventriculostomy

摘要: Objective: Although endoscopic third ventriculostomy (ETV) is a well established procedure for the treatment of congenital and acquired hydrocephalus, there still controversy with regard to higher risk failure in younger infants compared older children after such procedure. The aim this article define effectiveness hydrocephalus less than 6 months age better determine possible positive predictive factors. Materials Methods: In series 126 consecutive patients who underwent ETV between January 2000 December 2002, 21 procedures were performed on ranging from 23 180 days, without previous history shunting. follow-up period was 49 82 months. Results: overall success rate 67% (14/21). All failures occurred early postoperative (average 38 range 25-88 days). varied etiology patient's hydrocephalus. best results obtained acqueductal stenosis, Dandy-Walker malformation myelomeningocele. least favorable (50% rate) treated post-hemorrhagic post-meningitic Conclusion: This study does not demonstrate correlation rate. specific most relevant prognostic factor under six age.